| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,592 |
1,384 |
$257K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
267 |
223 |
$40K |
| A0998 |
Ambulance response and treatment, no transport |
923 |
363 |
$24K |
| A0390 |
Als mileage (per mile) |
995 |
858 |
$20K |
| A0425 |
Ground mileage, per statute mile |
187 |
162 |
$2K |
| A0380 |
Bls mileage (per mile) |
48 |
41 |
$799.76 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
14 |
$560.10 |
| A0999 |
Unlisted ambulance service |
22 |
15 |
$262.88 |